240094 12/09/2014 CITY OF CARMEL, INDIANA VENDOR: 00350579
ONE CIVIC SQUARE R &T AUTO SUPPLY, INC CHECK AMOUNT: $*******447.95*
CARMEL, INDIANA 46032 516 S MAIN ST CHECK NUMBER: 240094
SHERIDAN IN 46069 CHECK DATE: 12/09/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232000 5802-121863 129.95 TIRES & TUBES
2201 4232000 5802-122010 318.00 TIRES & TUBES
caRIQUEST
R & "I' AUTO CLJPI"'LY•4 IN(.-, I'AGE 1
5.1.6 G 11,12)IN STILET REF-U .- i32-1.w'4
AUTO PARTS (3HERIDAN I 111 46069
(317 ) 758-4456
SERVING A IIWORLD IN MOTION !
! ! �
5802-121.86'� 2070
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CAROUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
FL
I'Y 01::' CARMEL Iso IT`d C)l= CARMEL
[1 k! 1.; 1��'i' X34()0 l 1.L31ST
11•'�i�iL"-".L., IN 46074 �14RMEL 9 IN 46074
S802--121663 2070 11/25/20 R IA -1.19
L. .17 A L 7 —1 1 11 z a 58 69.95 0.00 69.95 w/N
ALIGNMENT
TIRE I-3:T,a't'-OSAL
�-2 All
WARRANTY DISCLAIMER:The manufacturer's warranttyy,if any,constitutes the only warrantwith resile t to the e e of ell s.SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.Seller ces not authorize erry person to grant any warranty or assume any Ilability by Seller.
69.t?5 0.00 0.00 129.99
Kr 11�-`�t, , :�. ., . PAY THIS t . -r
0-3.23 f'I'�i Dw/ ! � .ial� . AMOUNT CHAR
e
Ai i
fCASIJ REFUND
Custon-ter Nanic --_--__-_____-_--
Customer Phone 1l (_-__-_-) ---_-;_-----_-__---___•_-------------__=---------____--
Original Cash Sale Invoice /!,-------------------------------__ --
CL1stC)iner•s Si-rature -- --- ----- ------------ ----- - -
CC)[31114`.1})1C�1-�>-Sl-'I'il�lilll`t-.-•==-_=--__�_=------ --- ---. -
.----------- ----------------- --------- ------ - - -
Mai;a2er's Initials - --_—_.-- __-- - ----___,
This is a company policy to help verity'cash refunCis and thus safeguard our asscls.
m�
ORQUEST
R & T AUTO SUPPLY, INC: PAGE I
516 S MAIN �3'1"i�C_T" T REf='n 132853
AUTO PARTS {HEI---,LIRAN, .IN 46069
(317 ) 756-4456
`•_i1.:RRING A Wl.iFtl._D IN MOTION ! ! !
ANY PART RETURNED FOR CREDIT MUST BE ACCOMPANIED BY THIS RECEIPT. SEE CARQUEST STORE FOR DETAILS OF THIS COAST TO COAST GUARANTEE.
FLL�400
T'Y Cllr CARMEL LI-f Y Gi''' CARMEL
W 131ST b400 W 1.3163T
,,MEL, IN 46074 CARMEL, Ilii 14°6074•
S802-122010 122 }1U G 7 G 12/1/201 STREET DIED 1' 1 Cil i FF
.. o - o �.. a re;. I,� - a1 F:.• ,+ o I !`"MM• LII
LB7 LAB2 4 4 41.617 2S.00 0.00 100.00 WN
f*IRE CHANGE
TIRE CHANGE
6 b I E M b. (10 0.' .1 ,=.. .
OU
VALVE STEM
.,_; S _ _ . j. Q.tv l
TIRE DISPOSAL
1!5.ucF V.uu ,e.0
WHEEL BALANCE
WARRANTY DISCLAIMER:The manufacturees warranty,I(any,constitutes the only weme i resp t o the sale of all oo . ER HEREBY ES DI MS ALL WARRANTIES,EITHER EXPRESSED OR IMPLIED,
INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY Oy o FITNESS FOR A PART+ �P-URF �.Sailor does not uthorize an arson to y warren or assume any Ilablllty by Seller.
�y ,_.,-a.._fi"Anra ."YfJl ... �F ^'TY;a$°. ', Pkv ^, s:A.✓taU,m,&,.
2S2.
01 0 0.00 318.C-
PAY THIS 18. 00
C)�i� !i6 AM )'baa 1 ` AMOUNT G I-[A R
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C0111jizlCly polic-� lo hkAp
VOUCHER NO. WARRANT NO.
ALLOWED 20
R &T Auto Supply
IN SUM OF$
516 S. Main Street
Sheridan, IN 46069
$447.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 5802-121863 42-320.00 $129.95 I hereby certify that the attached invoice(s), or
2201 5802-122010 42-320.00 $318.00 bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
� 9
ua" F I , 2014
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i I
i I
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/25/14 5802-121863 $129.95
12/01/14 5802-122010 $318.00
I
I
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer